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Oncology & Hematology Coding Alert

HCPCS Update:

J1561's New Look Reveals Trade Name and Admin Modifications

Published on Tue Jan 17, 2012

Plus: Check out more new codes for pain and fracture prevention.Changes to acetaminophen, denosumab, and immune globulin coding are sure to keep you on your toes in 2012. Keep a close eye on the administration methods for Ofirmev and Gamunex-C, in particular.J0131: Add a New Acetaminophen CodeHCPCS 2012 adds a code for acetaminophen administered by infusion: J0131 (Injection, acetaminophen, 10 mg). The brand name for this injectable form is Ofirmev. Physicians may order the drug "for the management of mild to moderate pain; management of moderate to severe pain with adjunctive opoid analgesics; and for fever reduction in adults and children 2 years or older," according to the May 17, 2011, HCPCS Public Meeting Agenda (www.cms.gov/MedHCPCSGenInfo/downloads/Tues_May17thDrug-Agenda.pdf). 2012 example: Staff administers 1000 mg of Ofirmev over 15 minutes. You should report J0131 x 100 units (1000 mg administered divided by the 10 mg in the definition). For the administration, report [...]
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